Two Delphi surveys have been conducted during the past 20 years to identify cancer nursing research priorities; one in the United States and one in Canada. Sir Charles Gairdner Hospital, the State Cancer Referral Centre in Western Australia, undertook a replication of this Delphi survey to identify nursing research priorities for adult cancer nursing. The aim of this replication was to identify possible changes in priorities and account for cultural difference in the healthcare systems. A total of 45 responses were received from the first Delphi round and 30 from the second. The top ten priorities identified by this sample were different from those identified in prior studies. The top ranked research topic was "What strategies would be most helpful in allowing nurses time to provide emotional support to cancer patients and carers?" These results may stimulate discussion and re-assessment of research priorities in other adult cancer care settings.

This study examined the possibility that hearing-impaired listeners, in addition to displaying poorer-than-normal recognition of speech presented in background noise, require a larger signal-to-noise ratio for the detection of the speech sounds. Psychometric functions for the detection and recognition of stop consonants were obtained from both normal-hearing and hearing-impaired listeners. Expressing the speech levels in terms of their short-term spectra, the detection of consonants for both subject groups occurred at the same signal-to-noise ratio. In contrast, the hearing-impaired listeners displayed poorer recognition performance than the normal-hearing listeners. These results imply that the higher signal-to-noise ratios required for a given level of recognition by some subjects with hearing loss are not due in part to a deficit in detection of the signals in the masking noise, but rather are due exclusively to a deficit in recognition.

The Space Interferometry Mission (SIM), planned for launch in 2009, will measure the positions of celestial objects to an unprecedented accuracy of 4.0 microarcseconds. In order to achieve this accuracy, which represents an improvement of almost two orders of magnitude over previous astrometric measurements, a ten-meter baseline interferometer will be flown in space. NASA challenges JPL and its industrial partners, Lockheed Martin and TRW, to develop an affordable mission. This challenge will be met using a combination of existing designs and new technology. Performance and affordability must be balanced with a cost-conscious Systems Engineering approach to design and implementation trades. This paper focuses on the Lockheed Martin-led Starlight (STL) and Metrology (MET) subsystems within the main instrument of SIM. Starlight is collected by 35cm diameter telescopes to form fringes on detectors. To achieve the stated accuracy, the position of these white-light fringes must be measured to 10 -9 of a wavelength of visible light. The STL Subsystem consists of siderostats, telescopes, fast steering mirrors, roof mirrors, optical delay lines and beam combiners. The MET Subsystem is used to measure very precisely the locations of the siderostats with respect to one another as well as to measure the distance traveled by starlight from the siderostat mirrors and reference corner cubes through the system to a point very close to the detectors inside the beam combiners. The MET subsystem consists of beam launchers, double and triple corner cubes, and a laser distribution system.

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The compact and stable dual fiber optic refractive collimator is a device that takes laser light from two fiber optic cables, generating two beams of collimated light at increased diameters. This device is designed to be stable over a specific soak temperature range and maintain alignment through adverse vibration. Single or multiple beam configurations are possible with this design and the complexity goes linearly with beam quantity.What makes this device noteworthy is the simplicity of design plus ease in assembly and alignment. A precision alignment fixture is used instead of cumbersome, built-in, multiple degree of freedom features such as adjustment screws and flexures. This allows the collimator itself to be quite simple, compact and thermally stable.The dual collimator consists of a common housing, two fiber tip shuttle plugs allowing for adjustment in focus, and two laterally adjustable lens cells for beam alignment. The design has integral adhesive tack bonding features throughout and contains few parts keeping fabrication and alignment costs down. This paper covers the requirements, design, manufacture, assembly and performance of this optical device. The collimator has utility in precision interferometry. A patent has been filed.

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:This article highlights the need to screen survivors of traumatic orthopedic injuries for postinjury symptoms associated with stressor-related disorders such as acute stress disorder and posttraumatic stress disorder, including pain, sleep disturbances, anxiety, and depression. The authors discuss the presentation of these postinjury symptoms, the instruments used to screen for each, the various pharmacological and nonpharmacological treatments, and the nursing implications for managing postinjury symptoms in traumatic orthopedic injury survivors.